A Community-Based Fitness and Mobility Exercise Program for Older Adults with Chronic Stroke Trial.

Completed

Phase N/A Results

Trial Description

To examine the effects of a community-based group exercise program for older individuals with chronic stroke.

Interventions

Trial Design

Prospective, single-blind, randomized, controlled intervention trial.

Patient Involvement

Participants were brought into the laboratory for further screeening, and those who passed were randomly assigned to either the treatment (FAME group) or the control group. Both groups underwent an exercise program for 19 weeks of 1-hour sessions, three sessions per week, in the same multipurpose room of a community hall, but they exercised at different times of the day.

The FAME group received aerobic exercise for 10 min., increasing 5 min. every week up to 30 min. continuous with increments of intensity of 10% every 4 weeks. They also received mobility and balance exercising of different forms of walking, standing and kicking. Lastly, they performed leg muscle exercises.

The control group performed resistance exercises with increasing strength of bands and sets, up to 3 sets of 15. Elbow/wrist muscle strength and range of motion exercises were performed, and hand muscle strengthening exercises were performed for 10-15 minutes.

Outcomes

Type Measure Time Frame Safety Issue
Primary Cardiorespiratory fitness (maximal oxygen consumption), mobility (6-minute walk test), leg muscle strength (isometric knee extension), balance (Berg Balance Scale), activity and participation (Physical Activity Scale for Individuals with Physical Disabilities), and femoral neck BMD (using dual-energy x-ray absorptiometry).

Sponsors

Heart and Stroke Foundation of New Brunswick, the Canadian Institute of Health Research (JJE), & the Michael Smith Foundation for Health Research (JJE and HAM).